Derrick Russell
Derrick Russell is a Case Manager/Care Coordinator in Columbus, Ohio. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
1739 Shanley Dr Apt 4Columbus, OH 43224-1245
Phone: (614) 615-3313
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|
Record details
| NPI number | 1144959461 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 10, 2022 |
| Last updated in NPPES | May 24, 2024 |
| Certification date | May 24, 2024 |
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